Basic Search  |  Summaries  |  Advanced Search

Violation Tracker Individual Record

Company: Gold Coast Health Plan
Penalty: $17,200,000
Year: 2022
Date: August 18, 2022
Offense Group: government-contracting-related offenses
Primary Offense: False Claims Act and related
Violation Description: Ventura County Medi-Cal Managed Care Commission doing business as Gold Coast Health Plan, a county organized health system that contracts to arrange for the provision of health care services under California's Medicaid program (Medi-Cal) in Ventura County; Ventura County, which owns and operates Ventura County Medical Center, an integrated health care system that provides hospital, clinic, and specialty services; Dignity Health (Dignity), a not-for-profit hospital system that operates two acute care hospitals in Ventura County; and Clinicas del Camino Real Inc., a non-profit health care organization located in Ventura County, agreed to pay a total of $70.7 million pursuant to three separate settlements to resolve allegations that they violated the federal False Claims Act and the California False Claims Act by submitting or causing the submission of false claims to Medi-Cal related to Medicaid Adult Expansion under the Patient Protection and Affordable Care Act (ACA).
Level of Government: federal
Action Type: agency action
Agency: Justice Department Civil Division
Civil or Criminal Case: civil
Source of Data: (click here)
Source Notes: If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.